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Dale Dennis Deardorff, MD
Family Medicine Physician in Mishawaka, Indiana
NPI 1043266653

Dale Dennis Deardorff is a Family Medicine Physician based in South Bend, IN. Dale Dennis Deardorff practices in Mishawaka, IN and has the professional credentials of MD. The NPI Number for Dale Dennis Deardorff is 1043266653 and holds a License No. 01025330 (Indiana).

The current practice location address for Dale Dennis Deardorff is 420 W 4Th St, Mishawaka, IN and can be reached out via phone at 574-247-3456 and via fax at 574-247-3455.

Location: 420 W 4Th St, Mishawaka, IN, 46660-6309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043266653
Provider Name
Dale Dennis Deardorff
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
420 W 4Th St, Mishawaka, IN, 46660-6309
Phone Number
574-247-3456
Fax Number
574-247-3455
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100220930A 05 IN
000000214800 01 IN BCBS
institution
Provider Business Practice Location Address Details
Address
420 W 4Th St
City
Mishawaka
State
Indiana
Zip
46544-1948
Phone Number
574-247-3456
Fax Number
574-247-3455
person
Provider Business Mailing Address Details
Address
420 W 4Th St
City
Mishawaka
State
Indiana
Zip
46544-1948
Phone Number
574-247-3456
Fax Number
574-247-3455
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01025330 (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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